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SD- Psych > Mood and Bipolar DOs Lecture > Flashcards

Mood and Bipolar DOs Lecture Flashcards

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1
Q

Mixed Mania
Rapid Cycling
Bipolar II
Secondary Mania

A

Subtypes of bipolar DO

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2
Q

Simultaneous mania and depression
>40% prevalence of episodes

what subtype of bipolar?

A

Mixed mania

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3
Q

>4 episodes a year, what subtype of bipolar?

A

Rapid cycling

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4
Q

Hypomania (<4 days duration) alternating with depression

..what subtype of bipolar?

A

Bipolar II

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5
Q

Caused by drugs, tumor, CVA, SLE, endocrine, infections, huntington’s, wilson’s

what subtype of bipolar

A

Secondary mania

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6
Q

Genetic!

Risk of illness in a first degree relative is 10x the gen pop risk

A

Bipolar

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7
Q

Decreased inferior prefrontal cortex gray volumes
Decreased cerebellar vermis
Increased amygdala volume
Increased ventricular volume

A

Structural brain changes seen in bipolar DO

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8
Q

True or False:

The average patient with bipolar disorder does not receive a proper diagnosis for nearly a decade after the onset of his or her first episode

A

True

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9
Q

True or False…

Pts with cardiovascular disease are more likely to be depressed

A

true

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10
Q

Depression rates are highest in what type of women?

A

Early or late perimenopausal
Those using hormone therapy

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11
Q

Anxiety.
Sleep.
Sexual behavior.
Rhythms (Suprachiasmatic nucleus).
Temperature regulation.
CSF production.

which NT?

A

Serotonin

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12
Q

Mood

Cognition

Motor function

Drive

Aggression

Motivation

what NT?

A

Dopamine

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13
Q

Mood: – higher functions performed by the cortex.

Cognitive function: – function of cortex.

Drive and motivation: – function of brainstem

Memory and emotion: – function of the hippocampus and amygdala.

Endocrine response: – function of hypothalamus.

what NT?

A

Norepinepherine

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14
Q

Major Depression w/ or w/o psychotic features

Bipolar disorder - manic or depressed phase

Acute or Catatonic Schizophrenia

Some studies have shown efficacy in treating OCD, Delirium, NMS, Chronic pain syndromes, and intractable seizure disorders

..all indications for what type of therapy?

A

Electroconvulsive therapy

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15
Q

Relative Contraindications:
Recent MI,
Berry Aneurysm,
Brain Mass,
Increased Intracranial Pressure

A

Electroconvulsive therapy (ECT)

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16
Q

Ideation
Plans
Means
Intent
History

..all examined during which screening?

A

Suicide Risk Screening

17
Q

Subtypes:

Seasonal affective disorder
Melancholia
Atypical depression
Catatonic depression

A

Major depressive disorder (MDD)

18
Q

Tx= light therapy, bupropion, and SSRIs have been successful

A

Seasonal affective disorder

19
Q

Characterized by anhedonia, psychomotor retardation or agitation, anorexia, weight loss, depressed mood (especially in the AM), feelings of guilt, sleep disturbance

A

Melancholia

20
Q

This type of depression is characterized by overeating and weight gain, oversleeping, reactive mood, leaden paralysis and oversensitivity to interpersonal rejection

A

Atypical rejection

21
Q

This type of therapy is effective in all types of major depressive disorders (MDD), but is usuaslly reserved for severly depressed patients or patients who are unresponsive or intolerant of psych meds

A

Electroconvulsive therapy (ECT)

22
Q

____ can safely be used in pregnant and elderly patients, produces a rapid response, and has very few relative contraindications

A

ECT

23
Q

Cognitive, interpersonal and behavioral therapy are effective, especially in combinaton with pharmacotherapy for….

A

Mood disorders

24
Q

Which type of bipolar..

Characterized by occurrece of one or more manic or mixed episodes, which often cycle with depressive episodes, but the latter is not required for diagnosis

known as manic depression

A

Bipolar I

25
Q

Which type of bipolar…

Characterized by at least one or more major depressive episodes and at least one hypomanic episode
This pt has never experienced a manic episode or a mixed episode

A

Bipolar II

SD- Psych (7 decks)

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